Individual
IAN ST GEORGE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3209 S BROADWAY STE 229, EDMOND, OK 73013-4064
(551) 295-8223
Mailing address
2 UNIVERSITY PLZ STE 204, HACKENSACK, NJ 07601-6211
(551) 295-8223
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19102
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100256700B
—
OK
Enumeration date
11/17/2005
Last updated
09/14/2025
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